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DAYTON CHILDRENS HOSPITAL: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
DAYTON CHILDRENS HOSPITAL (EIN 31-0672132)
Tax period
2009-07-01 to 2010-06-30
Filed
2011-05-04
IRS object ID
201121249349300107
Schema version
2009v1.7
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-05-04T08:53:02-04:00Timestamp
Tax Period End Date2010-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1111 MONUMENT CIRCLE SUITE 2600AddressLine1
CityINDIANAPOLISCity
StateINState
ZIP Code46204ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN310672132EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Children's Medical CenterBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCHILNameControl
Phone9376413338Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1One Childrens PlazaAddressLine1
CityDaytonCity
StateOHState
ZIP Code454041815ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDavid T MillerName
TitleVP FinanceTitle
Date Signed2011-05-03DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone3176817000Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonDAVID KINSAULNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1ONE CHILDRENS PLAZAAddressLine1
CityDAYTONCity
StateOHState
ZIP Code454041815ZIPCode
FieldValueIRS element (for citing)
Gross Receipts468555966GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501cXOrganization501c
Web Sitewww.childrensdayton.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1967YearFormation
State Legal DomicileOHStateLegalDomicile
Activity Or Mission DescriptionTO IMPROVE THE HEALTH STATUS OF ALL CHILDREN THROUGH SERVICE, EDUCATION, RESEARCH AND ADVOCACY.ActivityOrMissionDescription
Nbr Voting Members Governing Body19NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees1975TotalNbrEmployees
Total Nbr Volunteers1047TotalNbrVolunteers
Total Gross UBI91371TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year8916670ContributionsGrantsPriorYear
Contributions Grants Current Year19295153ContributionsGrantsCurrentYear
Program Service Revenue Prior Year175711348ProgramServiceRevenuePriorYear
Program Service Revenue CY181426163ProgramServiceRevenueCY
Investment Income Prior Year-253779InvestmentIncomePriorYear
Investment Income Current Year-5572645InvestmentIncomeCurrentYear
Other Revenue Prior Year3117228OtherRevenuePriorYear
Other Revenue Current Year2443284OtherRevenueCurrentYear
Total Revenue Prior Year187491467TotalRevenuePriorYear
Total Revenue Current Year197591955TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year74903GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY102429GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year99972731SalariesEtcPriorYear
Salaries Etc Current Year96856215SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year1000861TotalFundrsngExpCurrentYear
Other Expense Prior Year74135973OtherExpensePriorYear
Other Expenses Current Year75063253OtherExpensesCurrentYear
Total Expenses Prior Year174183607TotalExpensesPriorYear
Total Expenses Current Year172021897TotalExpensesCurrentYear
Revenues Less Expenses Prior Year13307860RevenuesLessExpensesPriorYear
Revenues Less Expenses CY25570058RevenuesLessExpensesCY
Total Assets BOY318433896TotalAssetsBOY
Total Assets EOY340268641TotalAssetsEOY
Total Liabilities BOY41561040TotalLiabilitiesBOY
Total Liabilities EOY49322357TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY276872856NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY290946284NetAssetsOrFundBalancesEOY
Mission DescriptionTO IMPROVE THE HEALTH STATUS OF ALL CHILDREN THROUGH SERVICE, EDUCATION, RESEARCH AND ADVOCACY.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense160620518Expense
Grants102429Grants
Revenue181426163Revenue
DescriptionThe Children's Medical Center is a pediatric hospital located in downtown Dayton, Ohio. The Medical Center and its staff are committed to serving as an advocate for the children and their families in the Miami Valley through a variety of different programs. It offers inpatient, outpatient and ancillary services to the children in the surrounding 20 counties. Services are provided to patients without regard to their ability to pay. For the fiscal year ending June 30, 2010, the hospital's mix of patients was 48.3% Medicaid, 44.3% Commercial, 6.1% Other Government Programs and 1.2% Self Pay. The hospital provides a Level III neonatal nursery for premature newborns as well as critical care and general pediatric inpatient beds. A 24 hour emergency department is available to all children in the area. Some of the specialties offered at the hospital are neurosurgery, hematology/oncology, pulmonary, gastroenterology, neurology, developmental disorders, psychology, endocrinology, genetics, cardiology and general surgery. Without Children's Medical Center, many children in the area would have to travel a good distance to receive these services. The Medical Center also offers a Pediatric Residency Program that trains new pediatricians who will care for the next generation of children. Children's also sponsors many community events where children's health and safety are promoted. Some statistics for the fiscal year ending June 30, 2010 are as follows: #of beds: 155, Inpatient days: 29041, Admissions: 6646, Average length of stay: 4.37 days, Average daily census: 80.0, Occupancy rate: 51%, Surgeries performed: 11968, X-Ray studies: 68234, Lab tests: 770850, Respiratory therapy procedures: 177029, Pharmacy doses dispensed: 2700816, Cardiology procedures: 35278, Neurology procedures: 3499, Urgent Care visits: 18821, Emergency department visits: 63734, Outpatient clinics: 72354Description
Total Program Service Expense160620518TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Balance Sheet Amounts ReportedtrueBalanceSheetAmountsReported
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficetrueForeignOffice
Foreign ActivitiestrueForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualstrueGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationtrueBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MembertrueBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionstrueDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgtrueTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109692NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees1975NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccounttrueForeignFinancialAccount
Name Of Foreign CountryBDNameOfForeignCountry
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionstrueQuidProQuoContributions
Quid Pro Quo DisclosuretrueQuidProQuoDisclosure
Form8282 Property Disposed OftrueForm8282PropertyDisposedOf
Number Of8282 Filed1NumberOf8282Filed
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Nbr Voting Governing Body Members19NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProceduretrueWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledOHStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonDAVID T MILLERNamePerson
Telephone Number9376413338TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1ONE CHILDRENS PLAZAAddressLine1
CityDAYTONCity
StateOHState
ZIP Code45404ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (29 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
JEFFERY S ADAM MD
TRUSTEE1.0X2000000
JEFFREY S CHRISTIAN MD
TRUSTEE1.0X041594047496
JEAN IRELAND
TRUSTEE1.0X000
ROBERT E JOHNSON
TRUSTEE1.0X000
ROBERT P MYERS DO
TRUSTEE1.0X2000000
TIMOTHY G PEPPERS
TRUSTEE1.0X000
ARTHUR PICKOFF MD
TRUSTEE1.0X10727600
COLLEEN RYAN
TRUSTEE1.0X000
GREGORY SAMPLE
TRUSTEE1.0X000
BEVERLY SHILLITO
TRUSTEE1.0X000
MADONNA ALLREAD
CHAIRMAN1.0X000X
CHARLES FOLEY
FIRST VICE CHAIR/ CHAIRMAN1.0X000X
NEIL MCLACHLAN
SECOND/FIRST VICE CHAIR1.0X000X
VISHAL SOIN
TREASURER/ SECOND VICE CHAIR1.0X000X
LAURENCE KLABEN
ASSISTANT TREASURER1.0X000X
DEBBIE WATTS ROBINSON
SECRETARY1.0X000X
MARLA VICHICH
ASSISTANT SECRETARY1.0X000X
DAVID KINSAUL
PRESIDENT AND CEO40.0X4811390299386X
THOMAS MURPHY
VP MEDICAL AFFAIRS40.0X2859820219551X
DAVID T MILLER
VP FINANCE AND CFO40.0267732048399X
RENAE PHILLIPS
VP HOSPITAL OPERATIONS40.0201108039478X
GREGORY RAMEY
VP OUTPATIENT SERVICES40.01957570103741X
VICKI GIAMBRONE
VP MARKETING/EXTERNAL RELATION40.0198690037656X
LISA COFFEY
VP CORPORATION SUPPORT40.0154174030008X
MATTHEW GRAYBILL
VP ALTERNATIVE SITES40.0194696041700X
MARGARET HEMMEN
CRN ANESTHETIST40.0176196012447X
GREGORY HUFF
DIRECTOR PHARMACY40.0152959034706X
DUKE HADDAD JR
VP DEVELOPMENT40.0165940029456X
PEGGY BLANKENHORN
PEGGY NURSING EXCELLENCE40.0154466017083X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2776115TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs415940TotalReportableCompFrmRltdOrgs
Total Other Compensation961107TotalOtherCompensation
Number Individuals GT100 K42NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
CHILDREN'S CARE GROUP
1 CHILDRENS PLAZADAYTONOH45404PHYSICIAN SERVICES8757152
DAYTON CHILDREN'S CARDIOLOGY
1 CHILDRENS PLAZADAYTONOH45404PHYSICIAN SERVICES1721861
WRIGHT STATE PHYSICIANS
PO BOX 1144DAYTONOH45401PHYSICIAN SERVICES1709724
CHILDREN'S EMERGENCY SERVICES
1 CHILDRENS PLAZADAYTONOH45404PHYSICIAN SERVICES1243903
WRIGHT STATE UNIVERSITY
PO BOX 927DAYTONOH45401PHYSICIAN SERVICES960079
FieldValueIRS element (for citing)
Number Of Contractors GT100 K26NumberOfContractorsGT100K
Federated Campaigns25522FederatedCampaigns
Membership Dues0MembershipDues
Fundraising Events19857FundraisingEvents
Related Organizations0RelatedOrganizations
Government Grants1639083GovernmentGrants
All Other Contributions17610691AllOtherContributions
Noncash Contributions627304NoncashContributions
Total Contributions19295153TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
PATIENT SERVICE REVENUE900099122038315122038315
MEDICARE/MEDICAID9000995929647759296477
URGENT CARE CENTER621400174900174900
SURGERY CENTER621400-83529-83529
FieldValueIRS element (for citing)
Total Program Service Revenue181426163TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column4936135TotalRevenueColumn
Exclusion$4,936,135ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real356287Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real678204Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real-321917Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-321917TotalRevenueColumn
Exclusion-$321,917ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities259249644Securities
Other8055Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities269764773Securities
Other1706Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-10515129Securities
Other6349Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-10508780TotalRevenueColumn
Exclusion-$10,508,780ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events254059GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events19857CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses73187FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column180872TotalRevenueColumn
Exclusion$180,872ExclusionAmount

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Gross Sales Of Inventory625907GrossSalesOfInventory
Cost Of Goods Sold446141CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column179766TotalRevenueColumn
Related Or Exempt Function Income179766RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
CAFETERIA72221013319581331958
CCC624410776571776571
PARKING LOT812930296034296034
FieldValueIRS element (for citing)
Total Other Revenue2404563TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column197591955TotalRevenueColumn
Related Or Exempt Function Income183919121RelatedOrExemptFunctionIncome
Unrelated Business Revenue91371UnrelatedBusinessRevenue
Exclusion-$5,713,690ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total102429Total
Program Services102429ProgramServices

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total2568558Total
Management And General2568558ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total73552763Total
Program Services69683347ProgramServices
Management And General3317979ManagementAndGeneral
Fundraising551437Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total3935699Total
Program Services3728652ProgramServices
Management And General177540ManagementAndGeneral
Fundraising29507Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total11730096Total
Program Services11222389ProgramServices
Management And General418898ManagementAndGeneral
Fundraising88809Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total5069099Total
Program Services4802427ProgramServices
Management And General228668ManagementAndGeneral
Fundraising38004Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total245871Total
Management And General245871ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total229216Total
Management And General229216ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total161395Total
Program Services161395ProgramServices

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total13920613Total
Program Services13776471ProgramServices
Management And General144142ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total635050Total
Program Services635050ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total30325170Total
Program Services29308412ProgramServices
Management And General826009ManagementAndGeneral
Fundraising190749Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total3196960Total
Program Services3196960ProgramServices

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total2577161Total
Program Services2471209ProgramServices
Management And General96895ManagementAndGeneral
Fundraising9057Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total506546Total
Program Services357254ProgramServices
Management And General131491ManagementAndGeneral
Fundraising17801Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total127825Total
Program Services127825ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total14275391Total
Program Services13768708ProgramServices
Management And General455168ManagementAndGeneral
Fundraising51515Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total277676Total
Program Services277676ProgramServices

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
PURCHASED SERVICES64253664841301156008323982
STATE HOSPITAL ASSESSMENT21590132159013

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total172021897Total
Program Services160620518ProgramServices
Management And General10400518ManagementAndGeneral
Fundraising1000861Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY14750BOY
EOY14610EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY3010035BOY
EOY12773925EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY6778241BOY
EOY2165460EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY25603833BOY
EOY21512557EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY142465BOY
EOY177608EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY1321966BOY
EOY1294743EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY186817BOY
EOY606832EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis183388305LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec78128601LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY104965698BOY
EOY105259704EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY171959891BOY
EOY189896424EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY2092677BOY
EOY2078733EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY2357523BOY
EOY4488045EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY318433896BOY
EOY340268641EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY25148492BOY
EOY26376084EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY85988BOY
EOY1415EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY16326560BOY
EOY22944858EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY41561040BOY
EOY49322357EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY269552371BOY
EOY290084813EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY7320485BOY
EOY861471EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY276872856BOY
EOY290946284EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY318433896BOY
EOY340268641EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementtruePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationstrueGrantsOtherOrganizations
Grants Other Organizations$125,964GrantsOtherOrganizationsAmount
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationstrueRalliesDemonstrations
Rallies Demonstrations$47,599RalliesDemonstrationsAmount
Other ActivitiesfalseOtherActivities
Total Lobbying Expenditures IIB173563TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3
Form4720 Filed4912 TaxfalseForm4720Filed4912Tax

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierSCHEDULE C SUPPLEMENTAL INFORMATIONIdentifier
Return ReferenceSCHEDULE C, PART II-BReturnReference
ExplanationOHA - Ohio Hospital Association Dues: 47,993 % Alloc. To Lobbying: 4.00% Lobbying Expense: 1,920 OCHA - Ohio Children's Hospital Association Dues: 140,125 % Alloc. To Lobbying: 85.00% Lobbying Expense: 119,106 NACH Dues: 21,847 % Alloc. To Lobbying: 11.32% Lobbying Expense: 2,473 NACHRI - National Association of Children's Hospitals and Related Organizations Dues: 44,355 % Alloc. To Lobbying: 0.00% Lobbying Expense: 0 National Association of Children's Hospitals Dues: 21,772 % ALLOC TO LOBBYING: 11.32% LOBBYING EXPENSE: 2,465 Consulting Expenses Lobbying Expense: 32,009 Travel Expense Lobbying Expense: 3,422 Membership Dues Lobbying Expense: 0 Printing & Supplies Lobbying Expense: 0 Management time Lobbying Expense: 12,168 Total Line 1J: 179,651Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance71668979BeginningOfYearBalance
Contributions19617386Contributions
Investment Earnings Or Losses8980654InvestmentEarningsOrLosses
Grants Or Scholarships2900616GrantsOrScholarships
Other Expenditures233612OtherExpenditures
Administrative Expenses0AdministrativeExpenses
End Of Year Balance97132791EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance87947632BeginningOfYearBalance
Contributions1194204Contributions
Investment Earnings Or Losses-14186547InvestmentEarningsOrLosses
Grants Or Scholarships3254832GrantsOrScholarships
Other Expenditures31478OtherExpenditures
Administrative Expenses0AdministrativeExpenses
End Of Year Balance71668979EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance1.00000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.00000PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.00000TermEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgstrueEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RtrueAreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis3489979OtherCostOrOtherBasis
Book Value3489979BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis49502148OtherCostOrOtherBasis
Depreciation18185131Depreciation
Book Value31317017BookValue
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis126406795OtherCostOrOtherBasis
Depreciation58703545Depreciation
Book Value67703250BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis3989383OtherCostOrOtherBasis
Depreciation1239925Depreciation
Book Value2749458BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings105259704TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
RESERVE FOR PROFESSIONAL LIABILITY$4,418,313
PENSION PAYABLE$14,823,330
DEFERRED COMPENSATION PAYABLE$1,358,886
SERP PENSION ACCURAL$2,344,329
FieldValueIRS element (for citing)
Total Of Amounts22944858TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierSUPPLEMENTAL INFORMATIONIdentifier
Return ReferencePart V, Line 4ReturnReference
ExplanationThe endowments are held by the Children's Medical Center Foundation, a subsidiary of Children's Medical Center. The funds are used exclusively to support Children's Medical Center and its' subsidiaries. The intended use of the funds is to support medical research, the child life program and the medical chairs of specific hospital departments. PART X, FIN 48 FOOTNOTE The Medical Center follows the provisions of FASB interpretation No. 48, Accounting for Uncertainty in Income Taxes - an Interpretation of FASB Statement No. 109 (FIN No. 48). The Medical Center completed an analysis of its tax positions for all open years and determined that no material amounts were required to be recognized under FIN No. 48 in the consolidated financial statements at June 30, 2009 or 2008. All subsidiaries of the Medical Center except Children's Care Group (CCG) and Children's Anesthesia Group (CAG) and selected joint venture entities are exempt from federal income taxes under Section 501(c)(3) of the Internal Service Revenue. The wholly owned for-profit subsidiaries CCG and CAG had no taxable income in 2009. The provision for income taxes for the joint venture entities is not significant to the Children's Medical Center.Explanation

Schedule F IRS990ScheduleF

FieldValueIRS element (for citing)
Grant Records MaintainedfalseGrantRecordsMaintained

Accts Actvs Out US Table AcctsActvsOutUSTable

FieldValueIRS element (for citing)
RegionCentral America and the CaribbeanRegion
Number Of Offices1NumberOfOffices
Number Of Employees2NumberOfEmployees
Type Of Activities ConductedProgram ServicesTypeOfActivitiesConducted
Specific Services ProvidedSELF-INSURANCESpecificServicesProvided
Total Expenditures536486TotalExpenditures
FieldValueIRS element (for citing)
Total Number Of Offices1TotalNumberOfOffices
Total Number Of Employees2TotalNumberOfEmployees
Total Amount Spent536486TotalAmountSpent

Form990 Schedule F Part IV Form990ScheduleFPartIV

FieldValueIRS element (for citing)
IdentifierSCHEDULE F SUPPLEMENTAL INFORMATIONIdentifier
ExplanationTHE TOTAL EXPENDITURES WERE DETERMINED BASED ON THE ACCRUAL ACCOUNTING METHODOLOGY.Explanation

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1GOLF OUTINGNameOfEvent1
Gross Receipts Event1115801GrossReceiptsEvent1
Charitable Contributions Event17000CharitableContributionsEvent1
Gross Revenue Event1108801GrossRevenueEvent1
Food And Beverage Event17986FoodAndBeverageEvent1
Other Direct Expenses Event116662OtherDirectExpensesEvent1
Name Of Event2FESTIVALNameOfEvent2
Gross Receipts Event2130974GrossReceiptsEvent2
Charitable Contributions Event210365CharitableContributionsEvent2
Gross Revenue Event2120609GrossRevenueEvent2
Rent Facility Costs Event25000RentFacilityCostsEvent2
Food And Beverage Event218310FoodAndBeverageEvent2
Entertainment Event21000EntertainmentEvent2
Other Direct Expenses Event215255OtherDirectExpensesEvent2
Total Number Of Other Events3TotalNumberOfOtherEvents
Gross Receipts Other Events27141GrossReceiptsOtherEvents
Charitable Contrib Other Events2492CharitableContribOtherEvents
Gross Revenue Other Events24649GrossRevenueOtherEvents
Food And Beverage Other Events7236FoodAndBeverageOtherEvents
Other Direct Expenses Other Events1738OtherDirectExpensesOtherEvents
Gross Receipts Total273916GrossReceiptsTotal
Charitable Contributions Total19857CharitableContributionsTotal
Gross Revenue Total Events254059GrossRevenueTotalEvents
Rent Facility Costs Total Events5000RentFacilityCostsTotalEvents
Food And Beverage Total Events33532FoodAndBeverageTotalEvents
Entertainment Total Events1000EntertainmentTotalEvents
Other Direct Expenses Total Events33655OtherDirectExpensesTotalEvents
Direct Expense Summary Events73187DirectExpenseSummaryEvents
Net Income Summary180872NetIncomeSummary

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent100XPcent100
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent200 DXPcent200D
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense727416TotalCommunityBenefitExpense
Direct Offsetting Revenue154543DirectOffsettingRevenue
Net Community Benefit Expense572873NetCommunityBenefitExpense
Percent Of Total Expense0.00330PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense79050649TotalCommunityBenefitExpense
Direct Offsetting Revenue66613449DirectOffsettingRevenue
Net Community Benefit Expense12437200NetCommunityBenefitExpense
Percent Of Total Expense0.07200PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense79778065TotalCommunityBenefitExpense
Direct Offsetting Revenue66767992DirectOffsettingRevenue
Net Community Benefit Expense13010073NetCommunityBenefitExpense
Percent Of Total Expense0.07530PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense369367TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense369367NetCommunityBenefitExpense
Percent Of Total Expense0.00210PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense3470318TotalCommunityBenefitExpense
Direct Offsetting Revenue3065342DirectOffsettingRevenue
Net Community Benefit Expense404976NetCommunityBenefitExpense
Percent Of Total Expense0.00240PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense14256620TotalCommunityBenefitExpense
Direct Offsetting Revenue5333148DirectOffsettingRevenue
Net Community Benefit Expense8923472NetCommunityBenefitExpense
Percent Of Total Expense0.05200PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense99692TotalCommunityBenefitExpense
Net Community Benefit Expense99692NetCommunityBenefitExpense
Percent Of Total Expense0.00060PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense18195997TotalCommunityBenefitExpense
Direct Offsetting Revenue8398490DirectOffsettingRevenue
Net Community Benefit Expense9797507NetCommunityBenefitExpense
Percent Of Total Expense0.05710PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense97974062TotalCommunityBenefitExpense
Direct Offsetting Revenue75166482DirectOffsettingRevenue
Net Community Benefit Expense22807580NetCommunityBenefitExpense
Percent Of Total Expense0.13240PercentOfTotalExpense

Economic Development EconomicDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense4680TotalCommunityBuildingExpense
Net Community Building Expense4680NetCommunityBuildingExpense

Leadership Development LeadershipDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense7410TotalCommunityBuildingExpense
Net Community Building Expense7410NetCommunityBuildingExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Total Community Building Expense16283TotalCommunityBuildingExpense
Net Community Building Expense16283NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Total Community Building Expense11450TotalCommunityBuildingExpense
Net Community Building Expense11450NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense22626TotalCommunityBuildingExpense
Net Community Building Expense22626NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Other Other

FieldValueIRS element (for citing)
Total Community Building Expense5986TotalCommunityBuildingExpense
Net Community Building Expense5986NetCommunityBuildingExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense68435TotalCommunityBuildingExpense
Net Community Building Expense68435NetCommunityBuildingExpense
Percent Of Total Expense0.00030PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense$4,457,709BadDebtExpenseAmount
Amount Attributable To1133972AmountAttributableTo
Amount Reimbursed By Medicare279011AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare279011CostOfCareReimbursedByMedicare
Costing Methodology UsedCostingMethodologyUsed
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare

Form990 Schedule H Part V Form990ScheduleHPartV (7 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeLicensed HospitalLicensedHospitalGeneral Medical And SurgicalGeneralMedicalAndSurgicalChildrens HospitalChildrensHospitalTeaching HospitalTeachingHospitalEr24 HoursEr24HoursOtherOther
CHILDRENS MEDICAL CENTER
ONE CHILDRENS PLAZADAYTONOH454041815XXXXX
SPRINGBORO URGENT CARE CENTER
3333 WEST TECH ROADMIAMISBURGOH45342URGENT CARE CENTER
SPRINGBORO OUTPATIENT CARE CENTER
3333 WEST TECH ROADMIAMISBURGOH45342OUTPATIENT CARE CENTER DIAGNOSTIC CENTER
BEAVERCREEK OUTPATIENT TESTING CENTER
3224 DAYTON-XENIA ROADBEAVERCREEKOH45431OUTPATIENT CARE CENTER DIAGNOSTIC CENTER
KETTERING OUTPATIENT TESTING CENTER
4475 FAR HILLS AVENUEKETTERINGOH45429OUTPATIENT CARE CENTER DIAGNOSTIC CENTER
VANDALIA OUTPATIENT TESTING CENTER
810 FALLS CREEK DRIVE SUITE AVANDALIAOH45377OUTPATIENT CARE CENTER DIAGNOSTIC CENTER
WARREN COUNTY SPECIALTY CARE CENTER
100 CAMPUS LOOP ROAD SUITE AFRANKLINOH45005OUTPATIENT CARE CENTER

Form990 Schedule H Part VI Form990ScheduleHPartVI

FieldValueIRS element (for citing)
Costing Method UsedThe following costing methodologies were used in preparation of Schedule H Part I, Line 7: - Charity care at cost was calculated using the cost to charge ratio derived from worksheet 2, Ratio of Patient Cost-to-Charges. - Unreimbursed Medicaid was calculated using the cost to charge ratio derived from worksheet 2, Ratio of Patient Cost-to-Charges. - Community health improvement services were valued at the actual cash costs, including directly assignable payroll costs, related to these activities. No overhead allocation was charged to any amount included in this computation. - Health professions education costs were determined using the facility's Medicare cost reported, supplemented by the actual cash costs, including directly assignable payroll costs, related to these activities. - Subsidized Health services cost were determined using the facility's internal cost accounting system. The cost these services includes direct costs attributable to health services operations, together with an allocation of facility direct and indirect overhead using a cost finding methodology patterned after the Medicare cost report. - Cash and in kind contributions were valued at the actual cash costs, including directly assignable payroll costs, related to these activities. No overhead allocation was charged to any amount included in this computation.CostingMethodUsed
Subsidized Health Services ExplnDayton Children's did include $14,256,620 of physician clinic costs in the subsidized health services category.SubsidizedHealthServicesExpln
Bad Debt FootnoteThe costing methodology used in preparation of bad debt attributable to patient accounts is the cost to charge ratio derived from worksheet 2, Ratio of Patient Cost-to-Charge. The Children's Medical Center's audited financial statements do not include a footnote discussing bad debt expense. A provision for bad debt expense is shown on the profit and loss statement. The calculation of bad debt expense is in conformity with accounting principles generally accepted in the United States requiring management to make estimates and assumptions based on historical data that affect the reported amounts of revenue and expenses during the reported period. Likewise, an allowance for bad debt is shown on the balance sheet under the same principle affecting the reported amounts of assets and liabilities during reporting period.BadDebtFootnote
Shortfall As Community BenefitThe costs reported for services provided to Medicare patients come from Schedule E of the facility's cost report as filed. Since Dayton Children's is reimbursed for Medicare services under a TEFRA methodology, there is normally no shortfall, as allowed costs and payments due are equal.ShortfallAsCommunityBenefit
Debt Collection PolicyThe hospital's policies on billing and collections are posted on our website under the "Financial Matters" tab. It is the Hospitals' policy to publicize the availability of free care, government and other financial assistance programs up front before services are provided through means such as onsite financial counselors, brochures provided in the registration areas, and the website. Each of these avenues of communication includes detailed instructions on how patients and families may apply for assistance. The hospital's policies on billing and collections specify when collection action may be taken and makes it clear that these measures will only occur after Dayton Children's has made reasonable efforts to contact a family about its bill and the availability of financial assistance programs. These practices apply to all patients in general, not only patients who might be eligible for financial assistance.DebtCollectionPolicy
Number Of Facility Type ExplnDayton Children's has 7 health care facilities other than those required to be licensed, registered, or similarly recognized as a health care facility under state law. We have 4 testing centers, 2 offsite clinics and 1 urgent care center.NumberOfFacilityTypeExpln
Needs AssessmentImproving the health status of children is a key component of The Children's Medical Center of Dayton's mission. To help develop meaningful strategies in this area, Dayton Children's evaluates the status of our region's pediatric health through a regional pediatric health assessment conducted every three years. The first assessment was conducted in 2002, the second in 2005, third in 2008. Currently we are planning our fourth assessment to be completed in March 2011. Using an outside research firm, the assessment randomly surveys parents of children younger than 15 years old within Dayton Children's service area including the primary (Clark, Greene, Miami and Montgomery counties), the northern (Allen, Auglaize and Shelby counties), and the southern (parts of Butler and Warren counties) service areas. The accuracy of the research is within +/- 3.7% at the 95% level of confidence. The assessment gains the opinions of parents on various aspects of their children's health and safety including daily life, general and mental health status, special health needs, injury, violence, environmental health, injury prevention, nutrition and weight, physical activity, medical care and health care access and health care information sources. The hospital uses the insight from the assessment to develop initiatives aimed at improving the health and safety of our region's children. Our 2008 study revealed community needs around childhood obesity, asthma and special needs programming. These findings were to plan much of our community health and outreach programming. Because the survey is very robust and one of the few assessments that directly addresses children's health needs and parent perceptions in our community, Dayton Children's shares the data with community leaders and potential partners so that additional programming can be developed throughout our region. The assessment is intended to provide community health advocates with a guide to the health issues impacting the region's children and suggest some areas of focus for future programming and education beyond the walls of Dayton Children's. Dayton Children's also works with partners such as local health departments and child-serving organizations to gain additional information regarding these needs to create comprehensive action plans. Using data from the Regional Pediatric Health Assessment, our injury database, input from our pediatric experts, other local and national studies, Dayton Children's sets a robust agenda of injury prevention, health promotion and advocacy to address the health care needs facing our region's children.NeedsAssessment
Patient Education AssistanceThe hospital's policies on billing and collections are posted on our website under the "Financial Matters" tab. It is the Hospitals' policy to publicize the availability of free care, government and other financial assistance programs up front before services are provided through means such as onsite financial counselors, brochures provided in the registration areas, and the website. Each of these avenues of communication includes detailed instructions on how patients and families may apply for assistance. In addition, patients are informed of the availability of financial assistance programs through signs displayed in registration areas and through messages appearing on billing statements mailed by the hospital. Finally, the hospital employs on site financial counselors, who contact patients without coverage to discuss their eligibility for financial assistance programs via phone or through face to face interviews. These financial counselors will assist families in applying for financial assistance programs if desired.PatientEducationAssistance
Community InformationThe Children's Medical Center of Dayton (Dayton Children's) is located in Old North Dayton, northeast of downtown Dayton and the urban core, in Montgomery County in southwestern Ohio. The hospital's roots can be traced back to 1919, when philanthropist and activist Anna Barney Gorman planned a North Dayton community center to offer health services, education and recreation. The Barney Community Center later developed into the Barney Convalescent Hospital, which cared for polio victims. In 1967 a full-service children's hospital, The Barney Children's Medical Center, opened, and in 1970 the name was changed to The Children's Medical Center of Dayton. Dayton Children's now serves 20 Ohio counties, including the primary (Clark, Greene, Miami and Montgomery counties), the northern (Allen, Auglaize and Shelby counties), and the southern (parts of Butler and Warren counties) service areas and our secondary service area including Preble, Darke, Mercer, Van Wert, Clinton, Madison, Hancock, Hardin, Logan, Fayette, Champaign and Wayne County, Indiana. Our service area spans 9,000 square miles with a 2.1 million population that includes poor urban and rural areas. We are the only pediatric health care provider and the largest provider of medical care to low-income children in the region. Currently, we serve a disproportionate share of children from low-income families. Currently 48.4% of the patients at Dayton Children's are covered by Medicaid. In addition, Dayton Children's serves as the pediatric resource for military families stationed at nearby Wright-Patterson Air Force Base. Dayton Children's has always believed that infants, children and teens need to be cared for by pediatric specialists in a pediatric facility. This year Dayton Children's delivered pediatric care to more than 275,000 children in our 20-county region. Our outpatient and alternative services, including pediatric laboratory and imaging, complement our inpatient services. Many programs have received certifications and accreditations from organizations setting the standards of quality care; our scores from the Joint Commission on Accreditation of Healthcare Organizations are consistently among the nation's highest.CommunityInformation
Community Building ActivitiesThrough a variety of community- building activities, Dayton Children's staff and senior leadership are working beyond the walls of our hospital to create a healthy community for all children and families in our region. At Dayton Children's we know that partnerships are a driving force for change in our community. We partner with other local organizations that complement or enhance our mission: to improve the health status of all children. We believe that far more can be accomplished by working together and that the health of children and families is linked to the health and strength of the community. As the only children's hospital in the region, we take our pediatric expertise into the community to solve problems and create a healthy community for our children. Our community relationships demonstrate our commitment to the Dayton and surrounding community - a community we have called home for over 40 years. Dayton Children's is committed to working with our many valued partners to help ensure Dayton remains a great city to live, work and play. Dayton Children's works to educate the community about the uniqueness of pediatric health care. Our staff serves on professional organizations and healthcare advisory boards to make sure children's health issues are not forgotten and to educate future clinicians about pediatric issues. Professional organizations and advisory boards include Sinclair Community College Business Information Systems Advisory Board, Sinclair Community College Health Information Technology Program Advisory Committee, South Central Association for Clinical Microbiology, Dayton Organization of Nursing Executives, Ohio Nursing Association and the Ohio Organizations of Nursing Executives. As it is nationally, obesity continues to be a major pediatric health concern for our region. According to our 2008 Regional Pediatric Health Assessment, one in four children between the ages of 2 and 14 are overweight. In addition, nearly one-fourth of parents identified obesity, nutrition or exercise as the number-one community health issue facing children younger than age 15. Through community building activities with organizations such as Get Up Montgomery County, Wellness Matters, YMCA and Ohio Action for Healthy Kids, we have worked with partners to address this community issue. Dayton Children's provides unique pediatric expertise relating to childhood obesity and its comorbidities in order to give parents and children in our community actionable tips and tools to reduce childhood obesity in our region. Another finding of our regional pediatric health assessment was that allergies or asthma continue to affect almost 1 in 5 area children and over 1 in 10 children have been diagnosed with developmental delays/learning disabilities. In addition to providing community health improvement services that address these issues, Dayton Children's works with a variety of community partners such as the ASK Coalition, Goodwill/Easter Seals, Dayton Public Schools Head Start Health Services Advisory Committee, Epilepsy Foundation of Western Ohio, Juvenile Diabetes Research Foundation, March of Dimes, Prevent Blindness Ohio and Special Wish Foundation to give parents and children in our service area greater resources to address special needs issues. Unintentional injury is a leading cause of death and disability for children across the country and the statistics are very similar for our services area as well. We work with partners such as SAFE Communities, United Against Violence Greater Dayton Leadership Council and the Montgomery County Child Fatality Review Board to address some of the key unintentional injuries to children in our community such as motor vehicle accidents, pedestrian accidents and unsafe sleep practices. Beyond participation in organizations that directly impact children and children's health, Dayton Children's staff and leadership serve on various coalitions to improve the economic and social health of our community including the Dayton Development Coalition Board, Chamber of Commerce Board, American Heart Association, American Red Cross, Clothes that Work, Community Blood Center/Community Tissue Services Board, Culture Works, Dayton Foundation, Dayton Public Radio Board, Kinship Caregivers Coalition, , Miami Valley Literacy Council , Montgomery County Family and Children's First, Oakwood Board of Health, Ohio Society of Directors of Volunteer Services , Project READ, Ronald McDonald House, United Way and the Greater Dayton Hospital Association. Through these activities, Dayton Children's strives to create a community that is a place where all children and families grow and thrive.CommunityBuildingActivities
Other InformationDayton Children's is an indispensible resource to our community because we: - Serve as the community's safety net hospital by caring for all children regardless of their ability to pay, while providing and subsidizing hospital and community-based services that are either limited or unavailable elsewhere in our community. - Serve as a voice for children through public policy advocacy to change laws, policies or systems leading to the improvement of health and safety for children and families. - Join with community partners and lend support throughout our region to improve the lives of children and their families. - Train future doctors and health care providers to become the next generation of high quality, professional pediatric experts, often at a financial loss to the hospital. At Dayton Children's we are committed to living our mission to improve the health status of all children. Our community benefit activities demonstrate this commitment to our community's children. We live our mission to serve all children, regardless of their ability to pay. As a not-for-profit hospital, we know that status comes with a price; the price is that we must always do what is in the best interest of the patients and the community. At Dayton Children's, we serve a disproportionate share of children from low-income families. Currently 48.4% of the patients at Dayton Children's are covered by Medicaid. Dayton Children's is a leader in improving access to health insurance for children and families through its advocacy efforts. We have worked to expand children's coverage statewide and nationally. The hospital has provided critical resources and support to efforts to ensure that these gains are translated into actual coverage by enrolling uninsured children on-site. Dayton Children's Health Clinic is a primary care provider for many of the region's infants, children and teens. Not only is Children's Health Clinic a "safety net" for many families with over 16,000 visits each year, it is also a rich training setting for future pediatricians. As a teaching hospital, Dayton Children's is dedicated to training the next generation of pediatricians and pediatric specialists. Each year, Dayton Children's hosts 60 medical residents from the Wright State University Boonshoft School of Medicine. In addition, Dayton Children's houses this country's only civilian/military integrated pediatric residency program with Wright Patterson Air Force Base. Physicians trained at Dayton Children's are saving lives throughout the world. Training resident physicians involves significant costs far beyond those usually associated with patient care - however we know that training the next generation of health care workers is essential to the overall health of our community. At Dayton Children's, 100 percent of our active staff physicians are board certified or board eligible in at least one key pediatric specialty area. These pediatric specialists are the core of our Centers of Excellence available right here in Dayton. - There are 11 accredited pediatric cancer care programs in the nation housed in free-standing children's hospital - Dayton Children's Comprehensive Care Center of Cancer and Blood Disorders is one of them. This means we share the latest protocols, research and clinical trials so a child with cancer in Dayton gets the same care as they would at any other top center in the country. - Our designated Level III NICU provides a state-of-the-art, developmentally-centered unit offers a full range of newborn care including emergency and continuing care for premature and critically ill newborns. - Dayton Children's houses the Regional Centers for Cystic Fibrosis, Hemophilia and Sickle Cell - The Soin Pediatric Trauma and Emergency Center is the region's only Level II pediatric trauma center - Dayton Children's performs the majority of spinal surgeries in our region. We do everything we can to create a high-quality, safe environment for our young patients. In addition to providing child-life specialists, trained in distraction techniques, we "kid-size" our care. Our medical imaging department has state-of-the-art equipment designed to perform diagnostic examinations with a minimum of radiation exposure to patients, reducing long-term effects later in life. Our Soin Pediatric Trauma and Emergency Center (PTEC) is the region's only pediatric trauma center and an accredited Level II Pediatric Trauma Center; the closest pediatric trauma center is 53 miles south. Children come to PTEC to receive treatment for common, everyday emergencies - breathing difficulties and asthma, seizures and dehydration - as well as trauma conditions resulting from motor vehicle crashes, burns, near drownings, playground- and sports-related accidents, fractures and child abuse. These children need care from staff trained to use child-sized medical equipment, pediatric protocols that limit radiation exposure and weight-based medication dosages. Emergency rooms at adult hospitals are not well equipped or staffed to care for seriously ill children. These facilities may provide initial, stabilizing treatment, but often the next step is contacting Dayton Children's to provide a higher level of care. PTEC's services can make the difference between life and death since studies show that children have a higher survival rate at pediatric trauma centers than at adult trauma centers. Hospital wide, 48.4 percent of patients are on Medicaid. But at PTEC, the majority of patients - 60 percent - rely on Medicaid, which is reimbursed at just half the amount of commercial insurance; an additional 4 percent of PTEC patients have no insurance at all. Nevertheless, Dayton Children's is committed to treating all children, regardless of ability to pay, and subsidizes the care of uninsured or underinsured children. That's why we are known throughout the region as a safety net for low-income and unemployed families. To provide the best care for children, Dayton Children's offers many clinical programs despite financial loss because they meet an identified community health need. These specialty programs include pediatric pulmonary, endocrinology, hematology/oncology, gastroenterology, psychiatry, nephrology, urology, surgery, child abuse, neurology, developmental pediatrics, our specialty clinic and our Children's Health Clinic. Dayton Children's also leads the way in patient safety initiatives. Dayton Children's has worked with our pediatric partners across the country on a variety of patient safety and quality initiatives. Our work has resulted in a nationally recognized program in our Pediatric Intensive Care Unit and Neonatal Intensive Care Unit that has reduced the incidence of ventilator-associated pneumonia. In addition, the estimated added cost of ventilator associated pneumonia ranges from $5,000 to $40,000 for each occurrence. Our work has helped to lower the cost of health care and improve the quality of life for our patients. Our lab and emergency departments have also implemented innovative changes to reduce blood culture contamination. Our lower contamination rate translates into 133 children each year that have been spared repeat visits, hospital admission, prolonged stay, extra health care costs and potential for another infection. Dayton Children's joins with other children's hospitals across the country to address issues unique to the population that we serve. We work with the Child Health Care Corporation of America, the Ohio Children's Hospital Association (OCHA), Ohio Hospital Association (OHA), and the National Association of Children's Hospitals and Related Institutions (NACHRI) to make sure that children have a voice in policy matters. In the health care reform conversation we make sure that children's issues such as access to appropriate care are not forgotten. In 2009-2010, Dayton Children's joined with fellow health care providers, Ohio's business leaders, children's advocates and other stakeholders to create the Healthy Choices for Healthy Children coalition. Our coalition's first priority was supporting the passage of the Healthy Choices for Healthy Children legislation - Senate Bill 210 and House Bill 373 - because it is a critical first step in addressing the epidemic of childhood obesity in Ohio. The bill passed by the Ohio Assembly will improve the nutritional value of foods offered during the regular and extended school day, raise the bar for physical education, provide for Body Mass Index (BMI) screenings upon school entry and in the 3rd, 5th and 9th grades and offer a pilot program for daily physical activity during the school day. We believe these are first steps to addressing one of our greatest community needs - childhood obesity. Dayton Children's commitment to caring for children beyond our walls and in the community is a key part of our mission. Our community health improvement services allow us to prevent injuries, improve health literacy and engage the community on important heaOtherInformation

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedfalseRecordsMaintained

Form990 Schedule I Part III Form990ScheduleIPartIII (6 entries)

Type Of GrantTypeOfGrantNumber Of RecipientsNumberOfRecipientsAmount Of Cash GrantAmountOfCashGrant
TRANSPORTATION48916217
MEALS/FOOD1426464
RENT/UTILITIES5216439
PHARMACY28755825
SPECIAL EQUIPMENT43468
OTHER504016

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Travel For CompanionsXTravelForCompanions
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymenttrueSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (13 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
JEFFREY S CHRISTIAN MD
039302300022917025767021729046343600
DAVID KINSAUL
37804505000005309402814780179080780525000
DAVID T MILLER
1943370210000523950276470207520316131000
THOMAS MURPHY
21654002000004944202020450175060505533000
RENAE PHILLIPS
180253016000048550210250184530240586000
GREGORY RAMEY
1444440190770322360806110231300299498000
VICKI GIAMBRONE
1411740156000419160239310137250236346000
LISA COFFEY
131752012500099220105390194690184182000
MATTHEW GRAYBILL
1653260156000137700190200226800236396000
MARGARET HEMMEN
174762000143401185005970188643000
GREGORY HUFF
13132200021637010813023893187665000
DUKE HADDAD JR
1387010125000147390115940178620195396000
PEGGY BLANKENHORN
5633200098134010297067860171549000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierPART I, QUESTION 4AIdentifier
Return ReferencePEGGY BLANKENHORN RECEIVED A SEVERANCE PAYMENT OF $34,240.ReturnReference
ExplanationPART I, QUESTION 4B PARTICIPANTS IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN AND THE INCREASE IN ACTUARIAL VALUE: DAVID KINSAUL 243,693 DAVID MILLER 7,678 THOMAS MURPHY 147,929 GREGORY RAMEY 14,177 VICKI GIAMBRONE 6,241 MATTHEW GRAYBILL 3,476 RENAE PHILLIPS 1,284Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
CARRELL PICKOFF
SPOUSE OF TRUSTEE20722EMPLOYMENTfalse
NORTHWEST OHIO ENT SPECIALISTS
BUSINESS OF TRUSTEE125000RECRUITMENT LOANfalse
NORTHWEST OHIO ENT SPECIALISTS
BUSINESS OF TRUSTEE118759PHYSICIAN SERVICESfalse

Schedule M IRS990ScheduleM

FieldValueIRS element (for citing)
Works Of ArtWorksOfArt
Art Historical TreasuresArtHistoricalTreasures
Art Fractional InterestArtFractionalInterest
Books And PublicationsBooksAndPublications
Clothing And Household GoodsClothingAndHouseholdGoods
Cars And Other VehiclesCarsAndOtherVehicles
Boats And PlanesBoatsAndPlanes
Intellectual PropertyIntellectualProperty

Securities Publicly Traded SecuritiesPubliclyTraded

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions4NumberOfContributions
Noncash Contribs Rptd F990497304NoncashContribsRptdF990
Method Of Determining RevenuesSELLING PRICEMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Securities Closely Held StockSecuritiesCloselyHeldStock
Securities Prtnrshp Trust IntrstsSecuritiesPrtnrshpTrustIntrsts
Securities MiscellaneousSecuritiesMiscellaneous
Qualified Contrib Hist StructQualifiedContribHistStruct
Qualified Contrib OtherQualifiedContribOther

Real Estate Residential RealEstateResidential

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F990130000NoncashContribsRptdF990
Method Of Determining RevenuesSELLING PRICEMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Real Estate CommercialRealEstateCommercial
Real Estate OtherRealEstateOther
CollectiblesCollectibles
Food InventoryFoodInventory
Drugs And Medical SuppliesDrugsAndMedicalSupplies
TaxidermyTaxidermy
Historical ArtifactsHistoricalArtifacts
Scientific SpecimensScientificSpecimens
Archaeological ArtifactsArchaeologicalArtifacts
Number Of8283 Received1NumberOf8283Received
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftstrueReviewProcessUnusualNCGifts
Third Parties UsedtrueThirdPartiesUsed

Form990 Schedule M Part II Form990ScheduleMPartII

FieldValueIRS element (for citing)
IdentifierSUPPLEMENTAL INFORMATIONIdentifier
Return ReferencePart I, Line 32bReturnReference
ExplanationALL STOCK DONATIONS ARE TRANSFERRED TO EITHER MORGAN STANLEY/SMITH BARNEY OR CHILDREN'S MEDICAL CENTER KEY BANK TRUST ACCOUNT TO SELL STOCK. MORGAN STANLEY/SMITH BARNEY SENDS CHECK FOR CASH RECEIVED TO CHILDRENS. KEY BANK DIRECTLY DEPOSITS PROCEEDS INTO CHILDRENS CHECKING ACCOUNT.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation

FieldValueIRS element (for citing)
IdentifierSUPPLEMENTAL INFORMATIONIdentifier
Return ReferenceForm 990, Part VI, Lines 11aReturnReference
ExplanationThe CFO reviews key disclosures with appropriate committees of the Board of Trustees. Then prior to filing, the Form 990 is electronically loaded to a secure website for the entire Board of Trustees to review. An email is sent to all members notifying them that the form is available for their review and that it will be filed on or before 05/15/11. Form 990, Part VI, Line 12c - Monitoring conflict of interest At the beginning of each meeting, the chairman of the board asks each member to identify and disclose any potential conflicts of interest based on the agenda or any changes in their business practice that might be relevant. If there are any conflicts, the member(s) recuse themselves and do not participate in the discussion and do not vote on the item. This then is noted in the minutes of that meeting. Board members annually agree to abide by written conflict of interest and confidentiality policies. Board members also work to represent and balance the interests of Children's Medical Center's many constituents. The board annually evaluates its own performance. Form 990, Part VI, line 15b Compensation for the hospital's Chief Executive Officer (CEO) is set by an Executive Compensation Committee (the Committee) made up of three independent trustees who are also officers of the Board. This Committee also approves compensation levels, incentive plan payouts and executive benefits for each executive employed by the hospital. The Committee operates under a formal charter and keeps contemporaneous minutes of its proceedings. The Committee uses a total compensation philosophy to guide all decisions related to executive compensation at Dayton Children's Medical Center (DCMC), and as such determines and approves all aspects of the CEO's total compensation package, including benefits and expense allowances. These are detailed in a written employment agreement for the CEO. The Committee uses an outside consultant to conduct periodic reviews of the executive compensation levels of the organization versus those of similarly sized and situated organizations using published surveys. These survey results are used by the Committee in setting executive levels and the CEO's compensation in particular. The Committee follows a formal calendar of meetings and the chairman of the Committee reports to the Board of Trustees at least annually on the Committee's activities and on details of the CEO's compensation and benefits package. The Committee also reviews and approves disclosures related to executive compensation made as part of IRS Form 990. Part VI, line 19 - availability of financial statements, conflict of interest, organizing documents Children's Medical Center's conflict of interest policy is made available on our website. The financial statements and the organizing documents are made available as required by the extent of the law. Form 990, Part VII - Jeffery Adam MD is compensated by Children's Medical Center to perform the services of Medical Director for our Ears, Nose and Throat Clinic. - Jeffrey Christian MD works 40 hours per week for the subsidiary, Children's Care Group. - Arthur Pickoff MD is employed by Wright State University. Children's Medical Center contracts with Wright State University for Dr. Pickoff to provide services at Children's Medical Center as the Chairman of the Department of Pediatrics. Schedule R, Part II, Column B Children's Homecare of Dayton - to provide pediatric healthcare in the home. Children's Medical Center Foundation - to accumulate funds to benefit for and to assist in its charitable missions.Explanation

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
CHILDREN'S HOMECARE OF DAYTON
ONE CHILDRENS PLAZADAYTONOH45404311356037SEE SCHED OOH501(C)(3)9NA
CHILDREN'S MEDICAL CENTER FOUNDATION
ONE CHILDRENS PLAZADAYTONOH45404311045247SEE SCHED OOH501(C)(3)11aNA

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsCode VCodeVAmountGeneral Or Managing PartnerGeneralOrManagingPartner
AMCH COMPANY LLC
935 STATE RT 28MILFORDOH45150311610708URGENT CARE CTROHNAUNRELATED178264338811false$0false
MIDDLETOWN SURGERY CENTER LLC
5950 INNOVATION DRIVEMIDDLETOWNOH45005205160579SURGERY CENTEROHNAUNRELATED-835290false$0false

Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnershipAddress Line1AddressForeign/AddressLine1CityAddressForeign/CityProvince Or StateAddressForeign/ProvinceOrStateCountryAddressForeign/CountryPostal CodeAddressForeign/PostalCodeLegal Domicile Foreign CountryLegalDomicileForeignCountry
CHILDREN'S CARE GROUP
ONE CHILDRENS PLAZADAYTONOH45404311411364SPEC PHYS GROUPOHNAC-CORP1130060452611231.00000
CHILDREN'S ANESTHESIA GROUP
ONE CHILDRENS PLAZADAYTONOH45404260887231ANESTHESIA SVCSOHNAC-CORP377582611418431.00000
PEDIATRIC ASSURANCE COMPANY LTD
980478183SELF-INSURANCENAN/A1492636297085681.00000BUTTERFIELD BANK BLDG 6TH FLOORHAMILTONBERMUDABDHM12BD
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiestrueReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (13 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
CHILDREN'S HOMECARE OF DAYTON
A39648
CHILDREN'S MEDICAL CENTER FOUNDATION
B19509733
CHILDREN'S MEDICAL CENTER FOUNDATION
C3247146
CHILDREN'S MEDICAL CENTER FOUNDATION
L69898
CHILDREN'S CARE GROUP
L8527510
CHILDREN'S HOMECARE OF DAYTON
L409804
CHILDREN'S CARE GROUP
N116175
CHILDREN'S CARE GROUP
P2210931
CHILDREN'S HOMECARE OF DAYTON
P7405353
CHILDREN'S CARE GROUP
Q1675000
CHILDREN'S HOMECARE OF DAYTON
Q146933
CHILDREN'S CARE GROUP
R1900000
CHILDREN'S HOMECARE OF DAYTON
R500000